HomeMy WebLinkAboutWORK ACCEPTANCE FORM INTERMOUNTAIN FIRE SYSTEM - 23-00170 - Rexburg 10th Ward LDS MeetinghouseContractor Work Acceptance Form
Business Name:*
Contact Name:*
Mailing Address
Email:*Phone:*
Mobile:
Discipline:*License #:*Expiration Date:*Value of Work:
Permit Number:*
Project Name:*
Project Address:*
By signing, I acknowledge that I am the indicated contractor for the above mentioned Permit/Project.
Signature
Date
Contractor/Subcontractor
Intermountain Fire Systems
Keith Petersen
City
Spanish Fork
State / Province / Region
UT
Postal / Zip Code
84660
Country
Update new contact information that is not already on file with the City of Rexburg
Street Address
5768 S 650 W
Address Line 2
keith@ifsut.com 801-372-0420
Fire Sprinkler FPSC-184 2/11/2024 375,000.00$
Permit Information
Please enter in the following format: 00-00000
23-00170 Rexburg 10th Ward Meetinghouse
411 University Blvd, Rexburg, ID 83440
Acceptance
6/9/2023